The Skin Flap Cosmetic Procedure

The skin flap cosmetic procedure is used to cover a wound to allow it heal. It is generally used in cases of a large or deep open wound, or when you need to have damaged skin repaired. Also sometimes referred as a tissue flap, this is similar to a breast reconstruction technique used following a mastectomy associated with breast cancer.

When Would this Technique be Used?

This technique can be done anywhere on the body. For example, for cosmetic and functional reasons, this technique may be done on the face to restore the nose, mouth and area around the eyes. The goal is to cover wounds to prevent infection, allow healing and to make the area receiving the flap look as much like it did before the injury as possible. This procedure may also be used to fill contour defects, such as filling out sunken in areas that should not normally be sunken in.

Where Will My Doctor Get the Skin From?

A flap of skin can be taken from anywhere on your body, but your doctor will typically choose an area with loose skin. She will also try to get skin from an area that is the same area as the wound. For example, if the wound needing the flap is on your leg, your doctor will try to get leg skin for the best possible match of color, hair growth, texture and thickness.

How is the Procedure Done?

Your doctor will cut a piece of healthy skin from where she has determined to be the donor site. The skin flap may be turned, twisted or pulled to make sure it perfectly fits your wound. The flap will have all of its blood vessels connected to the wound site blood vessels. Using staples, stitches or skin glue, the flap and wound and brought together and closed. The area is then dressed to protect it and allow healing to begin.

The Healing Process

Healing works like a typical wound. It takes time and your doctor will provide you with care instructions. There is the risk for scars as well. As with all wounds, there is the risk for infection and your doctor will talk to you about what to look out for and how to help prevent this.

Skin flap failure or a delay in healing may result from the following: a weak immune system, active infection, smoking, diabetes, heart or lung condition, narrow or blocked blood vessel, kidney disease or a lung or liver disease. If you have any of these conditions, talk to your doctor before having this procedure.

Resources

MedScape Reference: Random Skin Flaps